The epidemiology of Aboriginal and Torres Strait Islander culture, health and wellbeing

Abstract

This thesis is a compilation of applied epidemiological studies undertaken throughout the course of the Master of Philosophy in Applied Epidemiology (MAE) program. The focus of this thesis is on Aboriginal and Torres Strait Islander health and wellbeing and uses a strengths based, mixed methods approach. Community based participatory research methodologies were utilized in these studies. An outbreak investigation was also undertaken as part of the MAE competencies. This thesis includes the following studies: - The data analysis and major epidemiological studies explore the association between caring for country, through participation in a Ranger program, and wellbeing. A cross sectional analysis of data collected in Central Australia in 2017, comparing health and wellbeing (life satisfaction, general health, psychological wellbeing and family wellbeing) among Aboriginal and Torres Strait Islander people employed as Rangers (n=43) versus not employed as Rangers (n=160). - The Stronger Communities for Children (SCfC) program was evaluated through collection of cultural participation data (a key program outcome). Community based participatory research was utilised and community researchers were trained in delivering the survey through partnership with the Palngun Wurnangat Aboriginal Corporation, the Kardu Lurruth Ngala Purrungime Committee and the National Centre of Epidemiology and Population Health. - An outbreak investigation was undertaken of a cluster of Salmonella Typhimurium with a unique MLVA pattern in Canberra, ACT. Descriptive epidemiology and an environmental investigation was undertaken to identify the source of the pathogen, and implement public health measures to mitigate risk to the public of further infection.

This thesis outlines additional activities undertaken during the MAE. Peer-reviewed articles, conference presentations, lesson plans and study proposals are included throughout.